S.D. Admin. R. 44:75:04:14

Current through Register Vol. 51, page 67, December 16, 2024

Section 44:75:04:14 - Quality assessment and performance improvement program

Each facility shall develop and implement a facility-wide, data-driven quality assessment and performance improvement program that reflects the complexity of the facility and focuses on indicators related to improved health outcomes and the prevention and reduction of medical errors. The facility must maintain and demonstrate evidence of its quality assessment and performance improvement program for review by the department.

The quality assessment and performance improvement program must measure, analyze, and track quality and performance improvement indicators, including adverse patient events, medical errors, staffing, and other aspects of performance that assess processes of care including services and operations and implement preventative actions and mechanisms that include feedback and learning throughout the hospital to address identified issues.

The program shall set priorities for quality assessment and performance improvement that:

(1) Focus high-risk, high-volume, or problem areas;

(2) Consider the incidence, prevalence, and severity of problems in those areas and;

(3) Affect health outcomes, patient safety, and quality of care.

The governing body of the facility, medical staff, and administrative officials are responsible and accountable for ensuring adequate resources are allocated for measuring, assessing, improving, and sustaining the performance and reducing risks to patients.

S.D. Admin. R. 44:75:04:14

42 SDR 51, effective 10/13/2015; 50 SDR 062, effective 11/27/2023

General Authority: SDCL 34-12-13(5).

Law Implemented: SDCL 34-12-13(5).